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Individual

DR. MARK C STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 COLUMBUS AVE STE 360, BAY CITY, MI 48708-6476
(989) 894-1111
(989) 894-2994
Mailing address
4 COLUMBUS AVE STE 360, BAY CITY, MI 48708-6476
(989) 894-1111
(989) 894-2994

Taxonomy

Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MS043841
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173591110
MI
Enumeration date
03/17/2006
Last updated
03/23/2021
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